THURSDAY | 9.14.2017 | 6 TO 9 PM

CRST International; 201 1st Street SE 3rd Floor Patio (Bankers Trust Building)Street Parking

Live Music by Hot Rod Lincoln with Billy Heller

Business Casual AttireAppetizers & Drinks will be served

NEW PROVIDERWELCOME ON BEHALF of Mercy

Medical Center and MercyCare Community Physicians, you and a guest are invited to join us at a reception welcoming the newest members of our medical community.

RSVP by Friday, September 1, by contacting Jessica Coppess at (319) 861-7684 or jjcoppess@mercycare.org.

NEW PROVIDERWELCOME

When patients face complex hernia diagnoses, such as multiple recurrences and problems with infected mesh or fistulas, treatment may require a multidisciplinary approach. Mercy’s unique ability to collaborate with its team of fellowship-trained colorectal, bariatric and plastic surgeons, provides patients with highly specialized care not available anywhere else in the market.

MERCY’S HERNIA SURGERY TEAMMercy General Surgery Clinic’s four board-certified general surgeons perform a variety of hernia surgery based on the needs of each individual patient. The group performs open, laparoscopic and robotic hernia repairs.

Bulent Cetindag, MD, FACS, is the area’s only fellowship-trained surgeon that specializes in complex abdominal wall reconstruction and hernia surgery.

MERCY’S ADVANCED HERNIA SURGERY CLINIC

Specializing in complex abdominal wall reconstruction and hernia surgery.

Bulent Cetindag, MD, FACSDr. Cetindag, brings his expertise in all aspects of hernia surgery, including advancement flaps for repair of complex and large abdominal wall hernias.

Sajida Ahad, MD, FACSDr. Ahad is a minimally invasive surgeon with expertise in abdominal, inguinal and hiatal hernias.

Imran Hassan, MD, FACS, FASCRSDr. Hassan is a colorectal surgeon that provides added expertise on complex stoma site hernias and hernias with fistulas.

Nora Royer, MD, FACSDr. Royer performs open and laparoscopic repairs of inguinal and abdominal wall hernias.

William Albright, MDDr. Albright is a plastic surgeon who partners with the Mercy hernia team when plastic surgery expertise on complex cases is needed.

HOW TO SCHEDULE IN EPICProviders with EPIC ambulatory available inyour clinic, please make your referral within EPIC under: Amb Referral to General Surgery.

Providers without EPIC, please call Mercy General Surgery Clinic at (319) 398-6747 or fax referral to (319) 398-6748.

www.mercycare.org/herniaFor questions or scheduling, call (319) 398-6747

Mercy Advanced Hernia Surgery ClinicMercy 8th & 8th Medical Park Building, Level 3 | Suite 300

788 8th Ave. SE, Cedar Rapids, IA 52401

465-

2025

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Iowa Sleep Society

10th Annual Education Conference

Event Timing: September 15, 2017 Event Location: Mercy Hallagan Education Center Event Address: 701 10th Street SE, Cedar Rapids, IA 52403 Contact us at info@iasleepsociety.org Register at http://www.iasleepsociety.org

Special rate for registration before September 1, 2017 is $100, which includes

membership in the Iowa Sleep Society, attendance at the education conference, and

7 CEU's. Special rate for polysomnography, respiratory, or nursing students is $50

which DOES NOT include CEU's.

If registering for the conference AFTER September 1, 2017, the cost increases to $130

for regular admission and $80 for students.

Mercy Physical Therapy and Sports Medicine Clinic Information

Mercy Health Plaza Physical Therapy

Phone: 319-398-6020; 398-6021; Fax: 398-6091

Address: 5264 Council St. NE, Cedar Rapids, IA 52402

Mercy Physical Therapy at Aspen Athletic Club

Phone: 319-398-6006 Fax: 390-3637

Address: 2120 Edgewood Road SW, Cedar Rapids, IA 52404

Mercy Physical Therapy at Main Hospital

Phone: 319-861-7776 Fax: 861-7744

Address: 701 10th St. SE, 4th floor, Zone 2, Cedar Rapids, IA 52401

Mercy Physical Therapy at MercyCare Marion

Phone: 319-899-2178 Fax : 221-8902

Address: 3701 Katz Drive, Marion, IA 52302

Mercy Physical Therapy at CORE Fitness in North Liberty

Phone: 319-665-2177 Fax: 665-2172

Address: 1395 Jordan St. Suite E, North Liberty, IA 52317

Mercy Physical Therapy at MercyCare Prairie Creek

Phone: 319-558-0358 Fax: 558-0359

Address: 777 76th Ave Dr SW, Cedar Rapids, IA 52404

Mercy Pediatric Physical Therapy at Mercy Medical Center

Phone: (319) 398-6104

Address: Level 4, Lundy Pavilion, 701 10th Street SE, Cedar Rapids, IA 52403

Page 1 of 1

August 2017

Narcotic Medication Records Change in EPIC:

Situation

Narcotic medication records in EPIC will have the default dispense amounts removed

beginning September 6, 2017.

Background: Multi-modal analgesia initiatives have been implemented for post-op patients recently at

Mercy Medical Center. One of the goals of this initiative is to utilize less narcotics. While educating surgeons on this initiative, several surgeons have expressed concern regarding the defaulted dispense amount of the narcotic medication records in EPIC being too high.

The 2016 CDC recommends the following for acute pain “Long-term opioid use often begins with treatment of acute pain. When opioids are used for acute pain, clinicians

should prescribe the lowest effective dose of immediate-release opioids and should prescribe no greater than needed for the expected duration of pain severe enough to require opioids. Three days or less will often be sufficient; more than seven days will

rarely be needed” Legislation has been introduced that would limit the initial supply of opioids for acute pain

to 7 days.

Assessment: There are 1,679 EPIC narcotic medication records which are marked as controlled

substances, there are 154 of these which have defaulted dispense quantities. Common narcotics prescribed post op are Roxicodone, Lortab and Percocet to name a few.

Most of the medication records are defaulted for 10 days with a dispense amount of 30 tablets which many of the surgeons are changing to a smaller quantity.

Recommendation:

The same narcotic medication records are utilized for acute pain, chronic pain, cancer pain, end of life pain, etc. There is no one perfect number for the dispense amount due to

the various scenarios for prescribing them. It was approved to remove the default dispense amounts on the narcotic records

(providers can save their own default dispense amounts on their preference

lists). Approved by PLC Quality Committee, Medication Management Committee and

MEC. References: CDC Guideline for Prescribing Opioids for Chronic Pain — United States, 2016, Recommendations and Reports / March 18, 2016 / 65(1);1–49 New Bill to Put 7-Day Limit on Pain Med Prescriptions - Medscape - Apr 19, 2017.

PRACTICE LIMITED TO OFFICE HOURS:

SKIN DISEASES AND CUTANEOUS SURGERY BY APPOINTMENT

ROBERT J. BARRY, M.D. Diplomate, American Board of Dermatology

1030 FIFTH AVENUE S.E.

CEDAR RAPIDS, IOWA 52403

PHONE (319) 366-7541

August 25, 2017

Dear Doctor,

After 44 year of practice in Cedar Rapids I am retiring. Cedar Rapids and you

have been very good to me and I appreciate all that you have done.

I have made arrangements for Forefront Dermatology to be custodian of your

medical records and would recommend them for your patients. Forefront

Dermatology is located in the PCI Building at 202 10th St SE and their phone

number is (319)366-3600.

I will be available through September 8, 2017 at the above number.

Thank you for all of your support over the years.

Sincerely yours,

Robert J. Barry, M.D.

Learn dozens of tools to do just that at the “BURNOUT-PROOF” on October 30, 2017

with Dr. Dike Drummond of TheHappyMD.com.

Mercy Medical Center, Hallagan Education Center (Level 1)

6 P.M. DINNER | 6:30 - 8 P.M. PRESENTATION

Dinner | Spouses/Significant Others Invited Too

Our speaker, Dr. Dike Drummond is a Mayo trained family doctor, executive coach, CEO of TheHappyMD.com where he has over 13,000 physician subscribers in 63 different countries. He has delivered the Burnout Proof Live Workshop to over 10,000 practicing physicians across America.

PLEASE RSVP by contacting Jessica Coppess at (319) 861-7684 or jjcoppess@mercycare.org.

LOWER YOUR STRESS LEVELS

IMPROVE WORK-LIFE BALANCE

BUILD A MORE IDEAL PRACTICE

S A V E T H E D A T E

Cedar Rapids Medical Education Foundation

Counting Medical Education Courses

September 2017

Page 1 of 1 9/1/2017

DATE TOPIC PRESENTOR(S)

Tues. 9/12 1200 – CRMEF – Visiting Professor Program

Topic: Sport Injuries

Speaker: Brian Wolf, MD

University of Iowa

ACCREDITATION * The Cedar Rapids Medical Education Foundation is accredited by the Iowa Medical Society (IMS) to provide continuing medical education for physicians.

+ The Cedar Rapids Medical Education Foundation designates this educational activity for a maximum of 1 AMA PRA Category 1 Credit ™. Physicians should only claim credit commensurate with their participation in the activity.

CONFLICT OF INTEREST As a sponsor accredited by the Iowa Medical Society, the Cedar Rapids Medical Education Program must assure balance, independence, objectivity and scientific rigor in all its individually sponsored or jointly sponsored educational activities. All faculty participating in a sponsored activity are expected to disclose to the activity audience any significant financial interest or other relationship (1) with the manufacturer(s) of any commercial product(s) and/or provider(s) of commercial services discussed in an educational presentation and (2) with any commercial supporters of the activity (significant financial interest or other relationship can include such things as grants, or research support, employee, consultant, major stock holder, member of speakers bureau, etc.) The intent of this disclosure is not to prevent a speaker with a significant financial or other relationship from making a presentation, but rather to provide listeners with information on which they can make their own judgments. It remains for the audience to determine whether the speaker’s interests or relationship may influence the presentation with regard to exposition or conclusion. Disclosure forms for each presenter are on file in the CME office. Participants interested in viewing copies may write the CME Office, including a self-addressed, stamped envelope. Please write to: Continuing Medical Education Office, Cedar Rapids Medical Education Foundation, 1260 2nd Avenue, SE, Cedar Rapids, IA 52403. DURING PRESENTATIONS THERE ARE OCCASIONALLY DISCUSSIONS OF UNAPPROVED USE OF FDA APPROVED DRUGS, DEVICES OR

TREATMENTS. THIS MUST BE DISCLOSED TO THE AUDIENCE DURING THE LECTURE.